Medical Care of Patients with Obesity
RECOMMENDATIONS
Obesity and 3 Phases of Chronic Disease Prevention and Treatment
The Anthropometric Component of the Diagnosis of Obesity
The Clinical Component of the Diagnosis of Obesity
Other measures of adiposity
Therapeutic Benefits of Weight Loss in Patients with Overweight or Obesity
Cardiovascular outcome trials assessing medication-assisted weight loss are currently ongoing or being planned.
Cardiovascular outcome trials assessing medication-assisted weight loss are currently ongoing or being planned.
- liraglutide and
- bariatric surgery
Lifestyle/Behavioral Therapy for Overweight and Obesity
Pharmacotherapy for Overweight and Obesity
Individualization of Pharmacotherapy in the Treatment of Obesity
Cardiovascular outcome trials are planned or ongoing for all weight-loss medications except orlistat.
The use of naltrexone ER/bupropion ER should be avoided in these patients.
Additional studies are needed to assess efficacy and safety of weightloss medications in the elderly.
Bariatric Surgery
- BMI ≥35 kg/m2 and therapeutic target of weight control and improved biochemical markers of CVD risk,
- BMI ≥30 kg/m2 and therapeutic target of weight control and improved biochemical markers of CVD risk.
- BMI ≥30 kg/m2 and therapeutic target of glycemic control in T2DM and improved biochemical markers of CVD risk.
Recommendation Grading
Overview
Title
Medical Care of Patients with Obesity
Authoring Organization
American Association of Clinical Endocrinologists
Publication Month/Year
July 1, 2016
Last Updated Month/Year
July 24, 2024
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Ambulatory
Intended Users
Dietician nutritionist, nurse, nurse practitioner, physician, physician assistant
Scope
Counseling, Diagnosis, Assessment and screening, Management
Diseases/Conditions (MeSH)
D009767 - Obesity, Morbid, D009765 - Obesity, D019440 - Anti-Obesity Agents, D000073319 - Obesity Management
Keywords
obesity, overweight
Source Citation
W. Timothy Garvey, Jeffrey I. Mechanick, Elise M. Brett, Alan J. Garber, Daniel L. Hurley, Ania M. Jastreboff, Karl Nadolsky, Rachel Pessah-Pollack, Raymond Plodkowski, and Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines (2016) AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY COMPREHENSIVE CLINICAL PRACTICE GUIDELINES FOR MEDICAL CARE OF PATIENTS WITH OBESITY. Endocrine Practice: July 2016, Vol. 22, No. Supplement 3, pp. 1-203.